Nebraska Medicare Supplement Plans
Nebraska Medicare Supplement plans are private insurance policies available to work alongside Medicare in supplementing coverage that your traditional Medicare coverage does not. This includes coverage for out of pocket expenses related to copayments, coinsurance deductibles.
Most commonly, you will hear Medicare Supplement policies referred to as “Medigap.” Your Nebraska Medicare Supplement plans are policies provided by private insurance companies.
In the following, we will break down and explain answers to questions on how Nebraska “Medigap” plans work in conjunction with Medicare to help fill unaddressed financial gaps.
Nebraska Medicare Benefit Options
Original Medicare, Part A, and Part B cover basic short-term hospital or nursing home care as well as medically necessary services and preventive care such as doctor’s appointments, ambulance services, and flu vaccines. Medicare Part A and B does not provide coverage for such things as long-term custodial care, hearing aid devices, and most dental care.
Nebraska Medicare Supplement Plans
Medicare Supplement Insurance, also known as “Medigap”, is supplemental insurance provided by Nebraska-licensed private insurance companies.
Not all expenses such as copayments, deductibles, and coinsurance are covered under Medicare. Medigap is provided to help in covering those health care costs that are not paid for by Medicare.
Medicare Part A includes:
- Hospitalization (Up to 60 days, semi-private room)
- Nursing Facility Admission
- Hospice Care
- Doctor’s Appointments
- Outpatient Care
- Laboratory Testing
- Outpatient Surgery
- Additional Services and Testing Deemed Medically Necessary by Your Physician
All benefits included with Original Medicare are covered at 80%. A Medigap plan can help to cover these remaining costs of these state health insurance.
Requirements for Nebraska Medicare Supplement Plans
The qualifications for Medigap eligibility are that you must be age 65 or older and enrolled in Medicare Part B. While you may enroll in Part B after your 65th birthday, to avoid an enrollment late penalty you will need to sign up during the enrollment period (IEP), also know as “Part B Late Penalty”.
Signing up for coverage after your IEP is still available, but will come with a monthly penalty added to your premium. This premium increase calculates out to 10% for each 12-month delay.
If you still have coverage under your employer or union-sponsored health care insurance plan, you can avoid a penalty by enrolling in Part B immediately when this coverage ends.
Nebraska Medicare Supplement Plans are not available to people with Medicare Advantage (Part C) plans.
Eligibility for Medicare Disabled and Under 65
Carriers for Nebraska Medicare Supplement plans are not obligated to offer coverage to those below 65. Even if they meet Medicaid eligibility by being disabled and are already receiving benefits.
Though not required, some private insurance companies will still offer Medigap plans. We can help you find out which carriers offer these plans. Contact one of our agents at the number above to find the best available plan and pricing for your needs.
Enrolling in Nebraska Medicare Supplement Insurance
The ideal period to buy a supplemental Medicare policy is during the open-enrollment window. This window begins on the first day of the month of your 65th birthday and enrolled in Part B.
You have six months from those dates to purchase your policy. During open enrollment, the insurance company cannot turn you down for any medical conditions. You’re granted guaranteed issue.
This means that you cannot be refused a policy or charged any additional amount due to pre-existing illnesses, health conditions, or medications.
When this window expires, insurance companies may accept or decline a policy based on your health status. You may opt to delay enrollment into a supplement plan due to having group health coverage through an employer.
When the end of your employee group coverage occurs, you will have 63 days from loss of coverage to enroll for a Medicare Supplement policy.
Compare Medigap Coverage Options
In Nebraska, you can elect your Medicare Supplement plan from 10 options. The most common plan selection is Plan F, G, or N. Regardless of which insurance provider you elect coverage with or where you live within the state, your letter plan benefits will be the same.
For example, the same letter plan in Omaha can cost more or less than compared to the same letter plan in Lincoln, but the benefits will be the same.
These are some highlights of these plans:
- Medicare Plan F and G – Letter Plan F is an all-inclusive option. Plan G is also broadly inclusive but does not offer a yearly Part B deductible.
- Plan N – Offers similar benefits with lower rates. This plan does have copays for some services. Healthcare providers charging more than the Medicare allowance for Medicare-covered services will have to paid by the patient without reimbursement to the patient, also known as excess charges.
When considering your Medigap plan in Nebraska, be sure your plan includes the value of extra benefits that you’re likely to use frequently. Don’t choose a plan because it has a lower rate with less coverage.
Medigap plans are designed to offer basic benefits that protect your finances against the high doctor and hospital bills. The selection of the proper plan is imperative.
Most insurers also include some value-added services in a membership program. These might include benefits like discounts on dental or vision services and memberships in health clubs.
Medicare Advantage vs Medicare Supplements in Nebraska
Nebraska Medicare Advantage Plans replace your Original Medicare Parts A & B. If you elect to use an MA plan, it can not be used with Nebraska Medicare Supplement plans. The appeal of Medicare Advantage plans is the appearance of less expensive premiums.
However, most Medigap plan beneficiaries find that they end up paying less out of pocket expenses, making the Medigap plan option a far better choice compared to most Medicare Advantage plans.
Part D Medicare Prescription Drug Plans
Original Medicare and Medigap plans do not provide prescription drug coverage. Without enrolling in Part D prescription drug coverage, a Nebraska resident would have to pay all medication costs out of pocket.
To ensure you are covered for medical, hospitalization, prescription medication, deductibles as well as other healthcare related expenses, it is best to have a Medicare benefits package that includes Original Medicare Parts A & B, Medigap, and a Medicare Part D Prescription Drug Plan.
As with previously mentioned plans, it is extremely important to make enrollment a priority once eligible. Delayed enrollment will result in you having to pay a Part D penalty. The penalty is based on the number of months you go without enrolling in coverage.
We are here to assist you in understanding and selecting the best Nebraska Medicare Supplement plans, Medicare Advantage and/or Prescription Drug Plan. Our service is 100% free with no obligation.
Simply complete our brief rate form above or give us a call. We will compare rates on your behalf. We’ll inform you of the best plans provided by the top carriers in Nebraska.